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In this segment Dr. Asima Ahmad emphasizes that individuals considering hormone therapy during perimenopause should first have a thorough conversation with their healthcare provider to explore all treatment options and safety considerations. She explains that hormone therapies—whether estrogen alone or combined estrogen‑progestin—function similarly to combined oral contraceptives, meaning they can suppress ovulation. Consequently, while hormone therapy does not categorically prevent pregnancy in perimenopausal women, it can influence the timing and likelihood of conception. Patients are advised to discuss their reproductive goals, desired timelines for trying to conceive, and alternative symptom‑relief strategies with their provider before initiating therapy.

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